@layout("/common/_container.html",{js:["/assets/tool/toolExpressReconciliationSfkhInstall/toolExpressReconciliationSfkhInstall_add.js"]}){

<div class="layui-body-header">
    <span class="layui-body-header-title">添加</span>
</div>

<div class="layui-fluid " style="">
    <div class="layui-card">
        <div class="layui-card-body">
            <form id="toolExpressReconciliationSfkhInstallForm" lay-filter="toolExpressReconciliationSfkhInstallForm" class="layui-form model-form" style="max-width: 700px;margin: 40px auto;">
                <input name="id" type="hidden"/>
                <fieldset class="layui-elem-field layui-field-title" style="margin-top: 2px;">
			    	<legend>添加顺丰卡航报价信息</legend>
			  	</fieldset>
                <div class="layui-form-item">
                    <label class="layui-form-label">省份<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="province" name="province" placeholder="请输入省份" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">城市<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="city" name="city" placeholder="请输入城市" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">首重20-60kg<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="firstWeight26kg" name="firstWeight26kg" placeholder="请输入首重20-60kg" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">续重20-60kg<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="cWeight26kg" name="cWeight26kg" placeholder="请输入续重20-60kg" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">首重60kg以上<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="firstWeight6kg" name="firstWeight6kg" placeholder="请输入首重60kg以上" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">续重60kg以上<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="cWeight6kg" name="cWeight6kg" placeholder="请输入续重60kg以上" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item layui-form-text">
                    <label class="layui-form-label">备注</label>
                    <div class="layui-input-block">
				        <textarea placeholder="请输入内容" class="layui-textarea" name="remarks"></textarea>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-input-block">
                        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
                        <button class="layui-btn layui-btn-primary" type="button" id="backupPage">&emsp;返回&emsp;</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>

@}